How much rates vary
Facilitymedian $588,844 · 10th to 90th $588,844 to $588,844Professionalmedian $588,844 · 10th to 90th $489,779 to $588,844
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $588,843.66 Median $588,843.66 Typical High $588,843.66 | Facility | None | $588,843.66 | $588,843.66 | $588,843.66 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $588,843.66 Typical High $588,843.66 | Professional | None | $512,861.38 | $588,843.66 | $588,843.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $295,120.92 Typical High $295,120.92 | Professional | 52 · Reduced service | $257,039.58 | $295,120.92 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $117,489.76 Typical High $117,489.76 | Professional | 53 · Discontinued | $102,329.30 | $117,489.76 | $117,489.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77,624.71 Median $89,125.09 Typical High $89,125.09 | Professional | 55 · Aftercare only | $77,624.71 | $89,125.09 | $89,125.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $58,884.37 Typical High $58,884.37 | Professional | 56 · Pre-op care only | $51,286.14 | $58,884.37 | $58,884.37 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Select Health Setting Facility Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $549,540.87 | Facility | None | $549,540.87 | $549,540.87 | $549,540.87 |
Select Health Setting Professional Modifier None Typical Low $407,380.28 Median $524,807.46 Typical High $524,807.46 | Professional | None | $407,380.28 | $524,807.46 | $524,807.46 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $457,088.19 Median $562,341.33 Typical High $758,577.58 | Professional | None | $457,088.19 | $562,341.33 | $758,577.58 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $602,559.59 | Professional | None | $489,778.82 | $489,778.82 | $602,559.59 |
Where Utah sits
The same service costs 2.0 times more in Texas than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Utah· 10th of 51
$588,844
TX $1,000,000NJ $489,779
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.